Individual provider Active NPI

Joseph B Taylor, PT,DPT

  • Physical Therapist
  • Flowery Branch, GA
National Provider Identifier
1295250751
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013096 Issued in GA
Practice address
5887 Spout Springs Rd Ste D403
Flowery Branch, GA 30542-3418
Phone
(770) 967-9301
Fax
(770) 967-9526
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013096 GA Primary

Addresses

Primary practice location

5887 Spout Springs Rd Ste D403
Flowery Branch, GA 30542-3418

Mailing address

5887 Spout Springs Rd Ste D403
Flowery Branch, GA 30542-3418
Phone (770) 967-9301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009001035 GA Practitioner - Physical Therapist in Private Practice 9537434154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lanier Therapy in Motion Physical Therapist PastSince Aug 3, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1295250751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5887 SPOUT SPRINGS RD STE D403",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423418",
            "telephone_number": "770-967-9301",
            "fax_number": "770-967-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5887 SPOUT SPRINGS RD STE D403",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423418",
            "telephone_number": "770-967-9301",
            "fax_number": "770-967-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JOSEPH",
        "middle_name": "B",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.